DR. Theodore Paul Shannon, PHD, MS

NPI #1992085831 in Worthington, Ohio

Provider Information

NPI Number: 1992085831
Entity Type: Individual
Name: DR. Theodore Paul Shannon, PHD, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: PHD, MS
Enumeration Date: Aug 23, 2011
Last Updated: Aug 23, 2011

Practice Location

Address: 1035 PROPRIETORS RD
City: Worthington
State: Ohio
ZIP Code: 43085-3230
Phone: (614) 785-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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